BRADLEY MICHAEL GREGORY PA-C NPI 1871357681

NPI Information

  • NPI: 1871357681
  • Provider Name: BRADLEY MICHAEL GREGORY, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2055 E SOUTH BLVD STE 601
    MONTGOMERY, AL
    ZIP 36116
  • Phone: (334) 747-2999

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NPI Details

Bradley Michael Gregory, PA-C is a medical physician assistant in Montgomery, AL with 3 years of experience. Bradley Michael Gregory, PA-C NPI is 1871357681. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2055 E SOUTH BLVD STE 601
MONTGOMERY, AL
ZIP 36116-014
Phone: (334) 747-2999

The NPI 1871357681 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/12/2024 and was last updated on 10/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA00781MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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